scholarly journals Chagas disease prevention through improved housing using an ecosystem approach to health

2001 ◽  
Vol 17 (suppl) ◽  
pp. S89-S97 ◽  
Author(s):  
Antonieta Rojas-de-Arias

This Chagas disease prevention project via housing improvement aims to determine the efficiencyof different interventions in vector control. The following study describes the target communities, disease magnitude, and housing improvements. Transmission levels are analysed from an ecological and socioeconomic perspective. Special interest was focused on the peridomicile as the origin of domiciliary reinfestation. In the original project, three intervention programs were proposed, one for each of the three communities: (a) an insecticide spraying program; (b) a housing improvement program; and (c) a combined program of spraying and housing improvement. The three communities currently have different risks of exposure to triatominae reinfestation as a consequence of the type of intervention carried out. A new multidisciplinary approach which integrates participatory, community-based research and socioeconomic dimensions will allow to determine the efficiency of models for territorial ordering, community education, and environmental interventions in Chagas disease control.

1995 ◽  
Vol 9 (6) ◽  
pp. 443-455 ◽  
Author(s):  
Robert M. Goodman ◽  
Fran C. Wheeler ◽  
Peter R. Lee

Purpose. To present an evaluation of a 5-year, community-based, chronic disease prevention project managed by a state health department to determine whether the department could replicate similar previous projects that had received more funding and other resources. Design. The evaluation used a matched comparison design and a review of archive and interview data. Setting. Florence, South Carolina (population: 56,240). Subjects. A random sample of 1642 persons in Florence (and 1551 in the comparison) who responded to a risk factor questionnaire and underwent a physical assessment; 70. 7% of baseline subjects participated in the postintervention. Forty key persons were interviewed concerning project effectiveness. Interventions by Project. Walk-a-thons, a speakers' bureau, media messages, restaurant food labeling, and cooking seminars. More than 31,000 participants were involved in 585 activities. Measures. Questionnaires focused on hypertension, obesity, high cholesterol, smoking, and exercise. Physical assessments determined lipid, lipoprotein, apolipoprotein, and blood pressure levels. Analysis of covariance was used for baseline and postintervention comparisons. Content analysis was used on archive and interview data. Results. The project had a slightly favorable intervention effect on cholesterol and smoking, but failed to have an effect on other risk factors for cardiovascular disease. The project influenced community awareness, enlisted influential community members, and fostered linkages among local health services. Conclusions. Health departments can be instrumental in community risk reduction programming; however, they may not replicate projects having greater resources.


Medical Care ◽  
1982 ◽  
Vol 20 (7) ◽  
pp. 663-675 ◽  
Author(s):  
Thomas E. Kottke ◽  
Pekka Puska ◽  
Roger Feldman ◽  
Jukka T. Salonen ◽  
Jaakko Tuomilehto

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